Healthcare Provider Details

I. General information

NPI: 1083693394
Provider Name (Legal Business Name): JULES M GELTZEILER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 INDUSTRIAL WAY E SUITE 101
EATONTOWN NJ
07724-3332
US

IV. Provider business mailing address

10 INDUSTRIAL WAY E STE 101
EATONTOWN NJ
07724-3332
US

V. Phone/Fax

Practice location:
  • Phone: 732-963-9091
  • Fax: 732-963-9092
Mailing address:
  • Phone: 732-963-0901
  • Fax: 732-963-9092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number25MA03839700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number74529
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: